Provider Demographics
NPI:1417279522
Name:BERNSTEIN, DANIEL REINALDO (L AC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:REINALDO
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 WATER ST
Mailing Address - Street 2:5D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1288
Mailing Address - Country:US
Mailing Address - Phone:212-777-7191
Mailing Address - Fax:
Practice Address - Street 1:133 MULBERRY ST
Practice Address - Street 2:3N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4744
Practice Address - Country:US
Practice Address - Phone:212-777-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000650171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist